Introduction of an Operating Room Black Box to Identify, Analyse and Prevent Errors in the Vascular Hybrid Room

This Belgian study introduces an operating room 'black box' — a recording and monitoring system similar to those used in aircraft cockpits — into a vascular hybrid operating room to capture surgical team behavior, communication, and technical performance during endovascular procedures. The goal is to identify human and technical factors that contribute to errors or near-misses, in order to improve surgical safety and training. Patients undergoing planned (elective) endovascular procedures for vascular disease — including treatment of blocked or narrowed arteries in the legs and pelvis, or aortic aneurysm repair — will be enrolled. All members of the surgical team must also consent to monitoring. You may be eligible if: - You are 18 years or older - You are scheduled for an elective endovascular procedure (planned more than 48 hours in advance) - Your procedure treats atherosclerotic vascular disease (blocked arteries in the aorta, iliac, femoral, popliteal, or below-knee vessels) or involves endovascular repair of a thoracic or abdominal aortic aneurysm (EVAR) - Both you and all team members have consented to recording You may NOT be eligible if: - You have not consented to the black box recording - Any member of the surgical team has not consented - Your procedure is an emergency (planned less than 48 hours in advance) - Your procedure treats a condition other than the specified vascular diseases or aneurysms Talk to your doctor to see if this trial is right for you.